IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 1 AS OF 12/31/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 12/25/23 T I T L E X I X R E P O R T O F E X P E N D I T U R E S (BY CATEGORY OF SERVICE) (FISCAL YTD TOTALS AS OF 12/31/23) CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL SERVED CLAIMS SERVICE PAYMENT INPATIENT 2,901 3,322 18,030 $54,545,056.82 OUTPATIENT 13,621 39,163 6,641,408 $9,056,339.24 CHILD PART HOSP 0 0 0 $0.00 CHILD DAY TREATMENT 0 0 0 $0.00 ADULT PART HOSP 0 0 0 $0.00 ADULT DAY TREATMENT 0 0 0 $0.00 SKILLED NURSING FACILITY 74 167 3,021 $1,646,595.51 IHAWP IOWA PLAN LITE 0 0 0 $0.00 IHAWP IOWA PLAN FULL 1 0 0 $0.89- IHAWP HMO 1 0 0 $64.32- IHAWP PCP 0 0 0 $0.00 INTERMEDIATE CARE FACILITY 320 1,338 39,013 $14,143,354.15 INTER CARE INT DISABLED 28 149 4,328 $2,183,652.63 NURSING FAC FOR MENTAL ILL 0 0 0 $0.00 HOME HEALTH 1,535 5,085 1,611,076 $12,013,034.69 LEAD INSPECTION AGENCY 0 0 0 $0.00 PHYSICIAN 17,726 75,928 227,794 $5,557,037.71 CLINIC SERVICES 5,175 10,757 10,721 $26,129,533.05 MEP CASE MANAGEMENT 0 0 0 $0.00 EHR INCENTIVE PAYMENTS 0 0 0 $0.00 LAB AND RADIOLOGICAL 2,991 5,957 17,787 $557,523.65 HABILITATION SERVICES 51 735 4,823 $743,896.52 BEHAVIORAL HLTH INTERVENTN SVC 92 799 5,221 $157,609.46 REHAB SUPPORT SERVICES 4 17 370 $20,657.10 AMBULANCE SERVICES 1,020 1,504 1,495 $730,468.89 LOCAL EDUCATION AGENCY 2,940 122,496 835,461 $17,818,844.27 INFANT TODDLER 594 2,903 6,583 $94,125.79 IHAWP WELLNESS EXAM BONUS 0 0 0 $0.00 ACO VIS PAYMENTS 0 0 0 $0.00 PRESCRIBED DRUGS 7,030 80,867 75,015 $8,637,570.46 IOWA-PLAN-PMIC 0 0 0 $0.00 DRUG CAPITATION 0 0 0 $0.00 NEMT SERVICES 15,728 63,350 56,796 $131,564.23 INDIAN HEALTH SERVICES 0 0 0 $0.00 FAMILY PLANNING SERVICES 459 687 686 $77,206.09 IOWA CARE MED HOME CAPITATION 0 0 0 $0.00 IOWA PLAN PROGRAM 0 0 0 $0.00 MANAGED SUBSTANCE ABUSE 0 0 0 $0.00 MENTAL HEALTH ACCESS PLAN 0 0 0 $0.00 EPSDT SCREENING 337 352 338 $606,117.98 HMO SERVICES 0 0 0 $0.00 PACE SERVICES 746 4,065 4,025 $16,782,601.48 PATIENT MANAGEMENT 0 0 0 $0.00 HEALTH INS PREMIUM PAYMENT 2,107 23,418 23,418 $2,704,604.89 MEDICAL SUPPLIES 3,110 11,886 523,516 $928,135.10 HEALTH HOME PROVIDER 301 1,043 563 $87,301.28 TCM PAYMENTS TO IOWAPLAN 0 0 0 $0.00 IHAWP QHP 0 0 0 $0.00 MCO 850,155 4,034,903 4,025,014 $3,521,751,758.78 OTHER PRACTITIONER 12,173 87,068 375,000 $12,746,913.54 IAMM2200-R003 (MR-O-12) IOWA DEPARTMENT OF HUMAN SERVICES PAGE 2 AS OF 12/31/23 MEDICAID MANAGEMENT INFORMATION SYSTEM RUN DATE 12/25/23 T I T L E X I X R E P O R T O F E X P E N D I T U R E S (BY CATEGORY OF SERVICE) (FISCAL YTD TOTALS AS OF 12/31/23) CATEGORY OF SERVICE RECIPIENTS NUMBER OF UNITS OF TOTAL SERVED CLAIMS SERVICE PAYMENT FAMILY CENTERED PROGRAM 0 0 0 $0.00 FAMILY PRESERVATION 0 0 0 $0.00 TREATMENT FOSTER FAMILY CARE 0 0 0 $0.00 GROUP TREATMENT THERAPY 0 0 0 $0.00 DENTAL 518 615 617 $59,639.54 ACCOUNTABLE CARE ORGANIZATIONS 0 0 0 $0.00 OPTOMETRIST 1,093 1,408 1,624 $74,591.67 CHIROPRACTIC 651 3,083 3,380 $52,316.50 IOWA-PLAN-HAB 0 0 0 $0.00 PODIATRIC 605 1,208 2,094 $43,039.36 PREPAID AMBULATORY HEALTH PLAN 786,313 4,070,803 4,066,474 $54,839,885.97 PHYSICAL DISABILITIES SVCS 5 45 5,134 $20,961.43 BRAIN INJ WAIVER SERVICES 153 1,875 57,402 $3,303,654.48 PSYCHIATRIC 1,623 4,696 5,610 $328,269.67 RESIDENTIAL CARE FACILITY 363 1,889 52,883 $453,211.30 ID WAIVER SERVICE 627 6,017 303,947 $12,776,242.30 CHILDRENS MENTAL HEALTH SVC 33 200 28,618 $140,253.35 AIDS WAIVER SERVICES 1 7 7 $7,829.24 ELDERLY WAIVER SERVICES 27 415 12,045 $204,976.23 ILL & HANDICAPPED WAIVER SVCS 310 2,073 111,478 $3,681,418.50 COUNTY OFFICE REIMBURSEMENT 0 0 0 $0.00 MEP SERVICES 637 3,895 31,625 $2,042,975.00 UNASSIGNED 4 0 0 $1,964,614.80 * A L L C A T E G O R I E S * 877,030 8,676,188 19,194,440 $3,789,845,317.44 *** END OF REPORT ***